Epidemiology of Cerebrovascular Disease Among Chinese Canadian Adults With Type 2 Diabetes

First-generation Chinese Canadians have usually maintained different lifestyles before immigration to North America, and the question of whether Chinese Canadians with type 2 diabetes have a different stroke profile than that of non-Chinese Canadians remains unanswered. To determine whether 1) Chine...

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Bibliographic Details
Published in:Canadian journal of diabetes 2018-02, Vol.42 (1), p.94-99
Main Authors: Lam, Susy, Chu, Joseph Y.
Format: Article
Language:English
Subjects:
accident vasculaire cérébral
Adult
Canada - epidemiology
cerebrovascular disease
Cerebrovascular Disorders - epidemiology
Cerebrovascular Disorders - etiology
Chinese Canadians
Diabetes
Diabetes Mellitus, Type 2 - complications
Diabète
Epidemiology
Humans
Hypertension
maladie cérébrovasculaire
Prevalence
Sino-Canadiens
stroke
Épidémiologie
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Summary:First-generation Chinese Canadians have usually maintained different lifestyles before immigration to North America, and the question of whether Chinese Canadians with type 2 diabetes have a different stroke profile than that of non-Chinese Canadians remains unanswered. To determine whether 1) Chinese Canadians who have had a stroke within the last 15 years are more likely to have diabetes than non-Chinese Canadians and 2) to explore differences in stroke profiles between the 2 cohorts. Age- and sex-matched Chinese Canadians (n=70) and non-Chinese Canadians (n=107) were compared on the basis of stroke type, age at stroke onset, stroke etiology and common risk factors. Classifications for disease were done according to professional guidelines. Statistical analysis was done with Student t test and odds ratios to confirm differences between groups. Chinese Canadians with stroke had a higher frequency of diabetes mellitus than non-Chinese Canadians. Chinese Canadians with diabetes were more likely to have small vessel disease, specifically lacunar stroke. Chinese Canadians at high risk for stroke were more likely to have a poor prognosis than non-Chinese Canadians, with near significance. Chinese Canadians with diabetes who had ischemic strokes were especially susceptible to intracranial small vessel disease compared with non-Chinese Canadians. These results signify that risk factor prevalence and stroke types differ considerably between Chinese Canadians and non-Chinese Canadians residing in Toronto, warranting further study. Puisque les Sino-Canadiens de première génération ont généralement eu des modes de vie différents avant leur immigration en Amérique du Nord, on se demande encore si les Sino-Canadiens atteints du diabète de type 2 ont un profil d'accident vasculaire cérébral différent de celui des Canadiens d'origine non chinoise. 1) Déterminer si les Sino-Canadiens qui ont subi un accident vasculaire cérébral au cours des 15 dernières années sont plus susceptibles d'être atteints de diabète que les Canadiens d'origine non chinoise ; 2) Examiner les différences de profils de l'accident vasculaire cérébral entre les 2 cohortes. Les Sino-Canadiens appariés selon l'âge et le sexe (n=70) et les Canadiens d'origine non chinoise (n=107) ont été comparés en se basant sur le type d'accident vasculaire cérébral, l'âge au moment de l'accident vasculaire cérébral, l'étiologie de l'accident vasculaire cérébral et les facteurs de risque courants. La classification d
ISSN:1499-2671
2352-3840
DOI:10.1016/j.jcjd.2017.02.001